Active NPI
Gary E McClellan, MA IN AUDIOLOGY
- Audiologist
- Oregon City, OR
National Provider Identifier
1255521779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 20346
- Practice address
- 1508 Division St
#115 Gary E McClellan Ma
Oregon City, OR 97045-2032 - Phone
- (503) 656-0601
- Fax
- (503) 656-1389
- NPI assigned
- Jul 31, 2007
- Last updated
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | HASP855737 | OR | |
| Audiologist | 231H00000X | 20346 | OR | Primary |
Addresses
Primary practice location
1508 Division St
#115 Gary E McClellan Ma
Oregon City, OR 97045-2032
Mailing address
1508 Division St
#115
Oregon City, OR 97045-2032
Phone (503) 656-0601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20346 | OR | MD | Audiologist |
| HASP855737 | OR | MD | Hearing Aid Equipment |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1255521779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "#115",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452032",
"telephone_number": "503-656-0601",
"fax_number": "503-656-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "#115 GARY E MCCLELLAN MA",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452032",
"telephone_number": "503-656-0601",
"fax_number": "503-656-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "GARY",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MA IN AUDIOLOGY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "OR",
"license": "HASP855737",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "20346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
- Donald Glen MC Arthur, LCSW, CADCI
- Kristen Nicole McCammon, CNM
- Chelsey Marie McCarthy-Correa
- Liberty Jean McCarthy
- Eileen Kerin Kilmartin McCarty, M.D.
- Jennifer McClellan, LCSW
- Teresa Marie McCommas, RDH
- McCrae Management & Investments, LTD. (NewSound Hearing Aid Centers)
- Mariah Michelle McCrae I
- Amber Lauren McCullough, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.